Arthroplasty ni uburyo bwo kubaga kugira ngo hasimburwe ingingo imwe cyangwa zose. Abaganga babyita kandi kubaga ingingo cyangwa izindi ngingo. Umuganga ubaga azakuraho ingingo zangiritse cyangwa zangiritse z’ingingo yawe karemano, maze azisimbuze ingingo y’ubukorano (prosthesis) ikozwe mu cyuma, pulasitiki cyangwa ceramic.
Gusimbuza ingingo ni ukubagwa gukomeye?
Arthroplasty, izwi kandi nka "gusimbuza ingingo", ni uburyo bukomeye bwo kubaga aho ingingo y'ubukorano ishyirwamo kugira ngo isimbuze ingingo yari yangiritse. Insimburangingo ikorwa mu byuma, ibumba, na pulasitiki. Ubusanzwe, umuganga w'amagufwa asimbuza ingingo yose, yitwa "gusimbuza ingingo yose".
Niba ivi ryawe ryangiritse cyane kubera rubagimpande cyangwa imvune, bishobora kukugora gukora ibikorwa byoroshye, nko kugenda cyangwa kuzamuka ingazi. Ushobora no gutangira kumva ububabare wicaye cyangwa uryamye.
Niba uburyo bwo kuvura butari ubwo kubaga nk'imiti no gukoresha ibikoresho byo gutembera bitagifasha, ushobora gutekereza kubaga ivi ryose. Kubaga ingingo ni uburyo bwizewe kandi bufite akamaro bwo kugabanya ububabare, gukosora ubumuga bw'amaguru, no kugufasha gusubira mu mirimo isanzwe.
Kubaga ivi ryose byakozwe bwa mbere mu 1968. Kuva icyo gihe, iterambere mu bikoresho byo kubaga n'ubuhanga byarushijeho kongera imikorere yabyo. Gusimbuza ivi ryose ni bumwe mu buryo bwagenze neza mu buvuzi bwose. Nk’uko bitangazwa n’Ishuri Rikuru ry’Abaganga b’Amagufwa rya Amerika, gusimbuza ivi ryose bikorwa buri mwaka muri Amerika.
Waba utangiye gushaka uburyo bwo kuvura cyangwa warafashe icyemezo cyo kubagwa ivi ryose, iyi nkuru izagufasha gusobanukirwa byinshi kuri ubu buryo bw'ingirakamaro.
II. Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa ingingo nshya?
Ubusanzwe bifata hafi umwaka kugira ngo ukire neza nyuma yo gusimburwa ivi. Ariko ugomba kuba ushobora gusubira mu bikorwa byawe bisanzwe ibyumweru bitandatu nyuma yo kubagwa. Igihe cyawe cyo gukira kizaterwa n'ibintu byinshi, harimo: Urugero rw'ibikorwa byawe mbere yo kubagwa
Gukira mu gihe gito
Gukira by'igihe gito bikubiyemo intambwe za mbere zo gukira, nko kuba ushobora kuva mu buriri bwo mu bitaro no gusezererwa mu bitaro. Ku munsi wa mbere cyangwa uwa kabiri, abarwayi benshi basimbura amavi bahabwa icyuma cyo kubasimbura kugira ngo kibafashe. Ku munsi wa gatatu nyuma yo kubagwa, abarwayi benshi bashobora gutaha. Gukira by'igihe gito bikubiyemo no kuva mu miti ikomeye yo kugabanya ububabare no gusinzira ijoro ryose nta binini. Iyo umurwayi atagikeneye ibikoresho byo kugenda kandi ashobora kugenda mu nzu nta bubabare - uretse kuba ashobora kugenda mu nzu inshuro ebyiri nta bubabare cyangwa ngo aruhuke - ibi byose bifatwa nk'ibimenyetso byo gukira by'igihe gito. Igihe mpuzandengo cyo gukira by'igihe gito ku gusimbuza amavi yose ni nk'ibyumweru 12.
Gukira mu gihe kirekire
Gukira igihe kirekire bikubiyemo gukira burundu ibikomere byo kubagwa n'ingingo zoroshye zo mu nda. Iyo umurwayi ashobora gusubira ku kazi no mu mirimo ye ya buri munsi, aba ari mu nzira yo kugera ku gihe cyose cyo gukira. Ikindi kimenyetso ni igihe umurwayi yumva amerewe neza. Impuzandengo y'igihe kirekire ku barwayi bose basimbura ivi ni hagati y'amezi 3 na 6. Dr. Ian C. Clarke, umushakashatsi mu by'ubuvuzi akaba n'uwashinze Laboratwari ya Peterson Tribology yo gusimbuza ingingo muri Kaminuza ya Loma Linda, yandika ati: “Abaganga bacu b'inzobere mu kubaga babona ko abarwayi 'bakize' igihe imiterere yabo ya none yarushijeho kuba myiza kurusha ububabare bwabo bwo mu ngingo mbere yo kubagwa no kudakora neza kw'ingingo.”
Hari ibintu byinshi bigira ingaruka ku gihe cyo gukira. Josephine Fox, Umuyobozi Mukuru w’ihuriro ry’abasimbura ivi rya BoneSmart.org akaba n’umuforomo w’imyaka irenga mirongo itanu, avuga ko imyumvire myiza ari yo yose. Abarwayi bagomba kwitegura gukorana umwete, ububabare n’icyizere cy’uko ejo hazaza hazaba heza. Kugira amakuru ajyanye no kubagwa ivi no gutera inkunga ikomeye na byo ni ingenzi mu gukira. Josephine yaranditse ati: “Ibibazo byinshi bito cyangwa binini bivuka mu gihe cyo gukira, kuva ku gaheri hafi y’igikomere kugeza ku bubabare butunguranye kandi budasanzwe. Muri ibi bihe ni byiza kugira itsinda ry’abaterankunga wo kwitabaza no kubona ibitekerezo ku gihe. Hari umuntu ushobora kuba yarahuye n’ibintu nk’ibyo cyangwa bisa nabyo kandi 'impuguke' na yo izagira icyo ivuga.”
III. Ni ubuhe buryo bwo kubaga ingingo zisimbura ingingo bukunze gukoreshwa cyane?
Niba ufite ububabare bukomeye bw'ingingo cyangwa gukomera - Kubagwa ingingo zose bishobora kuba ibyawe. Amavi, ikibuno, utuguru, ibitugu, amaboko n'inkokora byose bishobora gusimburwa. Ariko, gusimbuza ikibuno n'amavi bifatwa nk'ibikunze kugaragara cyane.
Gusimbuza Disiki y'Ubukorano
Abantu bakuru bagera ku munani ku ijana bahura n'ikibazo cyo kudakira cyangwaububabare bw'umugongo budakiraibyo bigatuma ubushobozi bwabo bwo gukora imirimo ya buri munsi bugabanuka. Gusimbuza disiki y’ubukorano akenshi ni amahitamo ku barwayi bafite indwara yo kugabanya ububabare mu ruhu (DDD) cyangwa disiki yangiritse cyane igatera ubwo bubabare. Mu kubaga disiki, disiki yangiritse isimbuzwa iy’ubukorano kugira ngo igabanye ububabare kandi ikomeze umugongo. Ubusanzwe, ikorwa mu gikonoshwa cy’inyuma cy’icyuma gifite imbere mu gikoresho cya pulasitiki cyo mu rwego rw’ubuvuzi.
Ubu ni bumwe mu buryo butandukanye bwo kubaga abantu bafite ibibazo bikomeye by’umugongo. Uburyo bushya bwo gusimbuza disiki yo mu kibuno bushobora kuba ubundi buryo bwo kubaga aho kubaga fusion kandi bukunze kwitabwaho iyo imiti n’ubuvuzi bw’umubiri bitagize icyo bitanga.
Kubagwa mu kibuno gusimbuza ikibuno
Niba urwaye ububabare bukomeye mu kibuno kandi uburyo bwo kudakoresha ubuvuzi butaragize icyo bugeraho mu kuvura ibimenyetso byawe, ushobora kuba ugiye kubagwa mu kibuno. Igice cy'ikibuno gisa n'aho ari umupira n'agapfunyika, aho impera y'igufwa rimwe iba mu mwobo w'irindi, bigatuma habaho kugenda uzunguruka. Osteoarthritis, rubagimpande, hamwe n'imvune itunguranye cyangwa isubiramo byose ni impamvu zikunze gutera ububabare buhoraho bushobora gukurwaho gusa iyo ubaye.
Agusimbuza ikibuno("Arthroplasty yo mu kibuno") ikubiyemo gusimbuza femur (umutwe w'ikibero) na acetabulum (umwobo w'ikibuno). Ubusanzwe, umupira w'ubukorano n'igiti bikozwe mu cyuma gikomeye n'umwobo w'ubukorano wa polyethylene - plastiki ikomeye kandi idashira. Iki gikorwa gisaba umuganga kubaga gukuraho ikibuno no gukuraho umutwe w'ikibero wangiritse, akawusimbuza icyuma.
Kubaga ivi ryo gusimbuza ivi
Ivi rimeze nk'aho rifata amaguru rishobora kunama no kugororoka. Hari igihe abarwayi bahitamo gusimbuza ivi ryabo nyuma y'uko ryangiritse cyane kubera rubagimpande cyangwa imvune ku buryo badashobora gukora ibikorwa by'ibanze nko kugenda no kwicara.ubu bwoko bw'ubu buvuzi, igice cy’ubukorano kigizwe n’icyuma na polyethylene gikoreshwa mu gusimbuza icyarwaye. Igikoresho gishobora gushyirwa mu mwanya wacyo hakoreshejwe sima y’amagufwa cyangwa kigatwikirwa n’ikintu kigezweho gituma ingirabuzimafatizo z’amagufwa zikuriramo.
ItsindaIvuriro ry’ibice byoseMuri MidAmerica Orthopaedics, abaganga b’imitsi ni bo bihariye muri ubwo bwoko bw’ubuvuzi. Itsinda rishinzwe kwita ku ntambwe nyinshi zibaho mbere yuko igikorwa nk’iki kiba gikomeye. Inzobere mu ivi ibanza gukora isuzuma ryimbitse ririmo gusuzuma imitsi y’ivi ryawe binyuze mu gusuzuma indwara zitandukanye. Kimwe n’izindi ndwara zisimbura ingingo, umurwayi na muganga bagomba kwemeranya ko ubu buryo ari bwo buryo bwiza bwo kongera gukora neza uko ivi rishoboye.
Kubagwa kw'urutugu
Kimwe n'ingingo yo mu kibuno,gusimbuza urutuguikoresha umugozi ufatana n'umupira. Umugozi w'urutugu rw'ubukorano ushobora kugira ibice bibiri cyangwa bitatu. Ibi biterwa nuko hari uburyo butandukanye bwo gusimbuza ingingo z'urutugu, bitewe n'igice cy'urutugu gikeneye kubikwa:
1. Igice cy'icyuma cya humeral gishyirwa mu mugongo (igufwa riri hagati y'urutugu rwawe n'inkokora).
2. Igice cy'umutwe w'icyuma gisimbura umutwe w'umugongo uri hejuru ya humerus.
3. Igice cya pulasitiki cya glenoid gisimbura ubuso bw'isoko rya glenoid.
Uburyo bwo gusimbuza ingingo bukunda gusubiza imikorere y’ingingo mu buryo bugaragara kandi bugabanye ububabare ku barwayi benshi. Nubwo igihe cy’ubuzima bw’ingingo zisanzwe kitoroshye kugereranya, ariko si ntarengwa. Hari abarwayi bashobora kungukirwa n’iterambere rikomeje kwiyongera igihe cy’ubuzima bw’ingingo.
Nta muntu n'umwe ukwiye kumva yihutishijwe mu gufata icyemezo gikomeye cy'ubuvuzi nko kubaga ingingo zisimbura ingingo. Abaganga begukanye ibihembo n'inzobere mu gusimbuza ingingo muri MidAmerica'sIvuriro ry’ibice byoseirashobora kukubwira uburyo butandukanye bwo kuvurwa buhari.Dusure kuri interineticyangwa uhamagare (708) 237-7200 kugira ngo ubone gahunda n'umwe mu bahanga bacu kugira ngo utangire urugendo rwawe rugana ku buzima burangwa n'imyitozo myinshi kandi butagira ububabare.
VI. Bitwara igihe kingana iki kugira ngo umuntu agende neza nyuma yo gusimbuza ivi?
Abarwayi benshi bashobora gutangira kugenda bakiri mu bitaro. Kugenda n'amaguru bifasha kugeza intungamubiri z'ingenzi ku ivi ryawe kugira ngo bigufashe gukira no gukira. Ushobora kwitega gukoresha icyuma gifasha kugenda mu byumweru bibiri bya mbere. Abarwayi benshi bashobora kugenda bonyine nyuma y'ibyumweru bine kugeza ku munani basimbura ivi.
Igihe cyo kohereza: Ugushyingo-08-2024
